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NPI Code Detail

MEDICARE: INLAND EMPIRE PHYSICIANS

MEDICARE: INLAND EMPIRE PHYSICIANS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1922628460
Entity Type Code : Organization
Provider Name (Legal Business Name) : INLAND EMPIRE PHYSICIANS
Provider Business Mailing Address
First Line : 334 VIA VERA CRUZ STE 251
Second Line :
City : SAN MARCOS
State : CA
Zip : 92078-2642
Country : US
Telephone Number : 517-303-6145
Fax Number :
Provider Business Practice Location Address
First Line : 334 VIA VERA CRUZ STE 251
Second Line :
City : SAN MARCOS
State : CA
Zip : 92078-2642
Country : US
Telephone Number : 517-303-6145
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : CHERYL LEE
Credential :
Telephone Number : 941-380-0606
Provider Enumeration Date : 04/24/2020
Last Update Date : 12/15/2021

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Directions to “INLAND EMPIRE PHYSICIANS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.